Patient Care Flashcards
HPCAA -
What is it and what impact has it on MRTs
The purpose of this act is to protect the health and safety of the public by ensuring all the practitioners are fully competent in their profession. For MITs this is governed by the MRTB, they ensure MITs are all competent by ensuring they –
• Have an annual practicing cert (APC)
• Meet the continuing professional development hours
• Following code of rights CoR
• Following code of ethics CoE
MRTB vs NZIMRT - why are both important
Medical radiation technologist board - governing body/registration board, duty to ensure MITS are fulfilling duties to meet HPCAA. Handles registration, complaints and disciplinary action.
New Zealand Institute of Medical Radiation Technologists - professional body for MRTs. Provide a “voice” for the profession, provide educational opportunities, have a CPD programme to support requirements to practice.
Health and Disabilities Act -
What is it?
The act of the health and disability commissioner is to promote and protect the rights of health and disability services consumers and facilitating the fair, simple, speedy and efficient resolution of complaints.
List and discuss patient rights
Respect - cultural, ethnic, religious and values
Dignity and Independence - allow one to make their own decision, and respect their own abilities to make life independently
Free from discrimination, harassment and exploitation - right to fair treatment free from discrimination of age, gender, race, sexual orientation
Effective communication
Make an informed choice and give informed consent
To support - the right to have a support person accompany one to examinations/appointments
To complain - one should not be disadvantaged for making a complaint, they should be kept informed of the progress and outcome of complaint.
Appropriate standard - receive necessary care and skill required to meet needs
Fully informed - services only be provided once you have made an informed choice and given informed consent.
Decline being involved in teaching or research
Code of ethics -
What is it and list the ethical principles
Code generated by the MRTB/NZIMRT. Aim of the code is to assist MRTs in maintaining the highest standard of ethical conduct.
Standards include -
* MRTs will act in a manner to justify public trust and confidence
* MRTs are committed to provision of the best possible service to patients. By maintaining CPD
* MRTs committing to use an ALARA exposure
* MRTs protect pt rights
Autonomy - having respect for the individual and their ability to make decisions regarding their health and future
Non-maleficence - actions intended not to cause harm to the patient or others
Beneficence - actions intended to benefit the patient
Justice - being fair and just to the wider community in terms of consequences of an action
Fidelity - notions of loyalty, faithfulness
Veracity - truth telling, honesty
Mumps protocol
If patient has mumps ideally a male MIT should not be involved as contracting this virus may cause sterility.
Mumps is droplet isolation which requires MIT to use surgical mask, face shield and gloves. Wash all surfaces that patient has had contact with.
Isolation period is 9 days after initial inflammation
MRSA - what it is, what is the protocol, room prep/MRT prep
Methicillin resistant staphylococcus aureus - bacteria which is resistant to a lot of broad spectrum antibiotics.
MRSA is a contact precaution.
Decided whether patient should be xrayed in room or ward. When patient arrives should be covered in a blanket.
Room prep - Use room 3 Remove unnecessary equipment Place yellow infectious bag in room Clean/dirty person Detector covered in plastic sleeve Doff into yellow bag Once patient leaves - change gloves and clean all horizontal surfaces Wash hands afterwards
Where is the infection protocol located in the department?
The infection control manual is stored on the general workroom on the shelves along with all the other manuals
TB protocol
Tuberculosis is an airborne infectious disease. So staff need to wear an N95 mask and a face shield, they may also want to wear a gown and gloves.
The room should be left for 30mins to allow particles to drop and then all surfaces should be wiped thoroughly.
You are down in CT after helping with a slide when the patient in the CT scanner goes into cardiac arrest. What do you do?
What would you do differently if this had been a paed patient?
Where are the emergency buttons in your department?
ABC on patient
Push green button and yell for help, tell someone to call 7777 and send for adult crash team
Start cardiac resus and send first person for crash trolley
Ensure crash team directed to area
If paediatric call 7777 and send for paed crash team
Emergency buttons in each of the xray rooms behind control panel.
If CT button in workroom on wall
You are on shift when you smell burning coming from the tearoom. When you enter you see the toaster is on fire. What do you do?
Remove myself and others from the area
Alert - call 7777
Contain fire by closing doors and getting to fire cell
Evacuate/extinguish if safe to do so
You are carrying out a bed CXR when the fire alarm goes off. What do you do?
Reassure patient that i am going to find out what is happening.
Find fire warden in department and await instructions.
If able wheel patient into the fire cell with everyone else, if theres no time close all doors to the xray room and explain to patient what happens next.
What is universal precautions?
All blood and body secretions are regarded as potentially infectious and precautions such as handwashing, gloves and PPE should be fol
What is the difference between infective and protective isolation?
Protective isolation is for patients who have decreased immunity for example neutropenic patients. Patient needs protected from illness. Ideally they would be in a positive ventilation room.
Infectious isolation is for patients who are contagious e.g. MRSA. The patient is infectious and we need to protect ourselves from them. Ideally they would be in a negative pressure ventilation room.
What does the spill kit contain?
Protective gloves Mask Gown Overshoes Warning signs Absorbent pad Plastic bag for contaminated materal
